May 19, 2022

Florida: Complete the Obstetrical Risk Assessment Form to earn an incentive

You can earn an incentive for each Obstetrical Risk Assessment Form (OBRAF) you submit for your pregnant patients who are UnitedHealthcare Community Plan members. When we receive this form within 10 days of your patient’s first prenatal visit, we’re able to identify if they’re eligible for our Healthy First Steps program.

How the form benefits your patient
We’ll enroll eligible patients in our Healthy First Steps program and provide them with information and touchpoints to help:

  • Reinforce your care plan
  • Encourage healthy behaviors that may help improve maternity health outcomes
  • Identify high-risk patients and assign a nurse coach to help with prenatal and postpartum care
  • Give access to social support resources to address food, housing and safety needs
  • Meet Healthcare Effectiveness Data and Information Set (HEDIS®) standards

How to submit the form

  • You must submit the form within 10 days of your patient’s first prenatal visit to receive the incentive
  • You can submit the form online or by fax
  • You don’t need to submit a claim to receive the incentive

Online ($40 incentive, preferred method):

  1. Visit the UnitedHealthcare Provider Portal at and log in
  2. Select Clinical and Pharmacy and then Care Conductor and Notification of Pregnancy
  3. Enter the required information and complete the OBRAF on the last page

Fax ($15 incentive):

  1. Visit the FL Provider Forms and Resources page
  2. Select Obstetrical Risk Assessment Form (OBRAF)
  3. Fax the completed form to us at 877-353-6913


Please call Provider Services at 877-842-3210.